Individual provider Active NPI

Michelle Nguyen, MD

  • Gastroenterology Physician
  • Los Gatos, CA
National Provider Identifier
1811967920
Registry record updated Oct 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A74533 Issued in CA
Practice address
14901 National Ave
Ste 101
Los Gatos, CA 95032-2637
Phone
(408) 471-2222
Fax
(408) 471-2200
NPI assigned
Jan 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X A74533 CA Primary

Addresses

Primary practice location

14901 National Ave
Ste 101
Los Gatos, CA 95032-2637

Mailing address

1010 N Central Ave
Ste 380
Glendale, CA 91202-2937

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040624001581 CA Practitioner - Gastroenterology 5092791731 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
University of Michigan Medical School, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Genesis Healthcare Partners PCGroup PAC ID 2163606807, 232 clinicians

Practice addresses (Care Compare)

14901 National Ave
Suite 101
Los Gatos, CA 95032-2637
Phone (408) 345-5925

Hospital & facility affiliations

  • Good Samaritan Hospital Hospital, San Jose, CA, CCN 050380

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy53
Upper gastrointestinal (GI) endoscopy for acid reflux31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A74533CAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of San Mateo CurrentSince Aug 29, 2018 Accepting new patients
County of San Mateo CurrentSince Aug 29, 2018 Accepting new patients
Genesis Healthcare Partners PC CurrentSince Oct 1, 2022 Accepting new patients
County of San Mateo CurrentSince Aug 29, 2018 Accepting new patients
El Camino Hospital Past Accepting new patients
Good Samaritan Hospital Ca LTD PTP Past Accepting new patients
Delaware County Memorial Hospital Past Accepting new patients
Dignity Health Past Accepting new patients
Santa Cruz Medical Clinic, Inc Past Accepting new patients
El Camino Hospital Past Accepting new patients
Pih Health Good Samaritan Hospital Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
Good Samaritan Hospital, L.P. Past Accepting new patients
County of Santa Clara Past Accepting new patients

Locations

1860 El Camino Real
Ste 101
Burlingame, CA 94010
Phone (650) 552-0700

14901 National Ave
Ste 101
Los Gatos, CA 95032
Phone (408) 345-5925

15251 National Ave
Ste 203
Los Gatos, CA 95032
Phone (408) 356-1990

2490 Hospital Dr
Ste 300
Mountain View, CA 94040
Phone (408) 471-2222

200 Jose Figueres Ave
Ste 170
San Jose, CA 95116
Phone (408) 258-5083

222 W 39th Ave
San Mateo, CA 94403
Phone (415) 573-2222

2089 Vale Rd
Ste 33
San Pablo, CA 94806
Phone (510) 234-5012

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 14

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540166400000",
    "number": "1811967920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 N CENTRAL AVE",
            "address_2": "STE 380",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912022937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14901 NATIONAL AVE",
            "address_2": "STE 101",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322637",
            "telephone_number": "408-471-2222",
            "fax_number": "408-471-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "MICHELLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-23",
        "last_updated": "2018-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A74533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Gatos, CA

Sources for this page

Verify at the official NPI Registry.